Assessing DSM-5 Level of Personality Functioning From Videotaped Clinical Interviews: A Pilot Study With Untrained and Clinically Inexperienced Students

Several authors have raised the concern that the DSM-5 Level of Personality Functioning Scale (LPFS) is relatively complex and theory laden, and thus might put high requirements on raters. We addressed this concern by having 22 untrained and clinically inexperienced students assess the personality f...

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Bibliographic Details
Published in:Journal of personality assessment 2014-07, Vol.96 (4), p.397-409
Main Authors: Zimmermann, Johannes, Benecke, Cord, Bender, Donna S., Skodol, Andrew E., Schauenburg, Henning, Cierpka, Manfred, Leising, Daniel
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Biological and medical sciences
Clinical experience
Clinical training
Diagnostic and Statistical Manual of Mental Disorders
Female
Humans
Interrater reliability
Interview, Psychological
Male
Medical sciences
Pathology
Personality
Personality disorders
Personality Disorders - diagnosis
Personality traits
Pilot Projects
Psychiatric Status Rating Scales - standards
Psychological tests
Psychology. Psychoanalysis. Psychiatry
Psychometrics. Diagnostic aid systems
Psychopathology. Psychiatry
Psychotherapy
Qualitative research
Severity of Illness Index
Students
Techniques and methods
Universities
Young Adult
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Summary:Several authors have raised the concern that the DSM-5 Level of Personality Functioning Scale (LPFS) is relatively complex and theory laden, and thus might put high requirements on raters. We addressed this concern by having 22 untrained and clinically inexperienced students assess the personality functioning of 10 female psychotherapy inpatients from videotaped clinical interviews, using a multi-item version of the LPFS. Individual raters' LPFS total scores showed acceptable interrater reliability, and were significantly associated with 2 distinct expert-rated measures of the severity of personality pathology. These findings suggest that, contrary to the previously mentioned concerns, successfully applying the LPFS to clinical cases might require neither extensive clinical experience nor training.
ISSN:0022-3891
1532-7752
DOI:10.1080/00223891.2013.852563